| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,656 |
3,519 |
$162K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
414 |
397 |
$72K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,441 |
1,340 |
$55K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
55 |
53 |
$34K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
264 |
255 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,157 |
1,054 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,081 |
1,000 |
$11K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
14 |
14 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
265 |
256 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
581 |
561 |
$2K |
| 80053 |
Comprehensive metabolic panel |
259 |
249 |
$2K |
| 81001 |
|
373 |
359 |
$733.38 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
15 |
$720.96 |
| 81025 |
|
121 |
119 |
$629.01 |
| 36415 |
Collection of venous blood by venipuncture |
871 |
803 |
$613.02 |
| 87807 |
|
27 |
27 |
$220.00 |